Surgical Technique of a Pfannenstiel Incision

Exposure of the ventral lamina of the rectus sheat and transverse division 2–3 cm cranial of the symphysis. The lateral border of the rectus sheat should be reached.

The ventral lamina of the rectus sheat is dissected of the rectus muscle to expose the midline between the rectus muscles. Caudally, the pyramidal muscles remain with the ventral lamina of the rectus sheat.

Division of the midline and fascia transversalis to separate both rectus muscles. Blunt dissection of the Retzius' space.

Using blunt dissection, the peritoneum is pushed superiorly and medially to expose the iliac vessels, spermatic cord and ureters.